Sometimes it is a painful lump or tender swelling.

Her throat had a soft painful lump in it.

But in some cases painful lumps are caused by breast cancer.

Kahlan twice swallowed past the painful lump in the back of her throat.

She forced the words past the painful lump in her throat.

She swallowed at the painful lump in her throat.

"I've had that talk," he said, pushing the words past a large, painful lump in the back of his throat.

Blocked milk ducts may cause a painful lump in the breast.

Richard reached behind, felt the painful lump on the back of his head, and checked his fingers for blood.

Muscle tumors may lead to a painful lump and are often thought to be an injury.